Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $23.44	Facility		$7.08	$13.49	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.13	Professional		$6.03	$6.03	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $43.65	Facility		$6.31	$6.31	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $8.32	Professional		$6.76	$6.76	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $30.20	Facility		$16.22	$19.95	$30.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $165.96	Facility		$30.20	$64.57	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $23.44	Professional		$15.14	$23.44	$23.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $141.25	Facility		$48.98	$61.66	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $8.71	Professional		$6.76	$6.76	$8.71